FORTIS COLLEGE -NUR206 UNIT EXAM 3
RN PEDIATRICS EXAM UPDATED VERSION
QUESTIONS AND VERIFIED ACCURATE
ANSWERS USING MARKING SCHEME
GUARANTEED A+
A 4 year old child was recently diagnosed with Duchenne's Muscular Dystrophy. Which statement by the father indicates a need for further teaching?
I should expect my child to be wheelchair bound and require assistance with activities of daily living by the age of 12 Once my child loses his muscle, he cannot grow it back.I should encourage my child to exercise to build muscle and delay progression of disease My child might eventually need a tracheostomy and PEG tube. - Correct AnswerI should encourage my child to exercise to build muscle and delay progression of disease
A 6 mo old child is in the ED because the parents have noticed large bruises when the patient is playing with toys, even without noticeable injury. A lab report shows decreased clotting factor 8. What teaching should be provided to the family?
NSAIDs are a good way to prevent bleeding and help with pain Be more careful with activity, but encourage your child to stay active. Sports like soccer are ok.Your child will need to come to the hospital for IV medications for the bleeding. We might teach you how to do this at home with a permanent line This disorder is due to a deficiency in vitamin K. increase intake of leafy greens - Correct AnswerYour child will need to come to the hospital for IV medications for the bleeding. We might teach you how to do this at home with a permanent line
A 7 year old female patient comes to your clinic and patients note that she has started her period. What is the priority teaching?
Suggest that the patient must be treated with injections and supplemental hormones They should encourage child to dress modestly and do activities appropriate for age Patient should start visiting the OBGYN for pelvic exams This disorder will not go away on its own - Correct AnswerThey should encourage child to dress modestly and do activities appropriate for age
A 9 year old recently had a cold. A few weeks later, they came in with bruising on their legs. Bone marrow tests come back normal. What finding do you also expect to confirm ITP?Prolonged PT/PTT 1 / 3
Platelets <20,000 Normal WBCs Elevated D-Dimer (thrombosis) - Correct AnswerPlatelets <20,000
A 9 year old recently had a cold. A few weeks later, they came in with bruising on their legs. Bone marrow tests come back normal. What treatment would the nurse question?IV immune globulins Advil for pain Iron, folic acid, b12 supplements Bleed precautions - Correct AnswerAdvil for pain
A 10 year old comes to your clinic for a yearly well child check. The patient has a history of marfan syndrome. What is your priority assessment?ECG and auscultation of heart sounds Measurement of growth percentiles Use of scoliometer to assess spinal curve Serum lipid panel - Correct AnswerECG and auscultation of heart sounds
A 12 y/o patient in your ICU starts having 10 ml/hour urine output. They begin vomiting and report not feeling well. The labs come back: Na 130, urine specific gravity 1.040, serum osmo 250, HCT 20%. What is your priority intervention?
- Place seizure pads, suction, oxygen at bedside
- Hypertonic saline
- High protein, high sodium diet
- Measure patients' weight - Correct AnswerPlace seizure pads, suction, oxygen at
bedside
A candidal diaper rash is classified by: (Select all that apply.)
Redness Flat Satellite lesions Flakiness - Correct AnswerRedness Satellite lesions
A child is admitted to the ED with a fracture on his leg. Which of the following are signs that abuse should be investigated? SATA
Fractures at various signs of healing Parent's story is similar to the injury Patient is reluctant to answer questions about injury Patient refuses to walk or crawl on extremity - Correct AnswerFractures at various signs of healing
A child is discharged from the hospital with a spica cast for their developmental dysplasia of the hip. What is the priority diagnosis?
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Risk for impaired skin integrity Impaired mobility Risk for ineffective tissue perfusion Risk for infection - Correct AnswerRisk for impaired skin integrity
A child is recovering from Legg-calve-perthes disease and asked if they will have long term problems from the disease. What education do you provide?
Physical therapy is not necessary, this disease is temporary and self-resolves.You may be at a risk of arthritis later in life. Ways to prevent arthritis include meeting your daily need of calcium and vitamin D and performing weight bearing activities.You will probably have a limp for a few years due to the lasting damage.We will need to perform yearly bone scCorrect Answeruntil you are 18 years old. - Correct AnswerYou may be at a risk of arthritis later in life. Ways to prevent arthritis include meeting your daily need of calcium and vitamin D and performing weight bearing activities.
A child with Talipes Equinovarus is being discharged home. The physician has chosen to treat the condition with serial casting. Which statement by the father would indicate that the teaching was effective?
I will be changing my child's cast every 1 to 2 weeks and will need to pay attention to my child's skin My child will not need any further splints after finishing the serial casting My child has this condition due to a medication that my wife took during pregnancy.I can get the casts wet during bathing because the material quickly air dries - Correct AnswerI will be changing my child's cast every 1 to 2 weeks and will need to pay attention to my child's skin
A graduate nurse is taking care of a patient that is immediately post op spinal fusion for scoliosis. Which action by the graduate nurse should the nurse question?Observing for clear drainage from JP drains Reminding patient to turn self every two hours Placing patient in supine position Performing indwelling catheter care - Correct AnswerReminding patient to turn self every two hours
A mother is showing off images of her infant when one photo shows white behind the pupils on one side. What should the nurse say to the mother?What a cute child. It may be a good idea to have their vision examined, though You should take your child to the doctor, the white eye can be a sign of cancer.Does your child have congenital cataracts?Did your child recently hit their head? - Correct AnswerYou should take your child to the doctor, the white eye can be a sign of cancer.
A neuroblastoma is a cancer of what?
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